The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 1 , Pages 47-52 , July 2007

Single-stage repair of arch aneurysms with a long elephant trunk: Medium-term follow-up of thromboexcluded aneurysms

  • Koichi Toda, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
    • Corresponding Author InformationAddress for reprints: Koichi Toda, MD, 1179-3, Nagasone-cho, Kita-ku, Sakai, Osaka, Japan.
    • ,
  • Kazuhiro Taniguchi, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
    • ,
  • Hiroki Hata, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
    • ,
  • Yasuhiro Shudo, MD

      Affiliations

    • Department of Cardiovascular Surgery, Japan Labor Health and Welfare Organization Osaka Rosai Hospital, Sakai, Japan
    • ,
  • Hajime Matsue, MD

      Affiliations

    • Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan
    • ,
  • Satoru Kuki, MD

      Affiliations

    • Department of Cardiovascular Surgery, Takarazuka Municipal Hospital, Takarazuka, Japan.
    • ,
  • Yoshiki Sawa, MD

      Affiliations

    • Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Japan

Received 21 November 2006 ,Revised 20 February 2007 ,Accepted 23 February 2007.

References 

  1. Minale C, Splittgerber FH, Reifschneider HJ. Replacement of the entire thoracic aorta in a single stage. Ann Thorac Surg. 1994;57:850–855
  2. Borst HG, Frank G, Schaps D. Treatment of extensive aortic aneurysms by a new multiple-stage approach. J Thorac Cardiovasc Surg. 1988;95:11–13
  3. Estrera AL, Miller CC, Porat EE, Huynh TT, Winnerkvist A, Safi HJ. Staged repair of extensive aortic aneurysms. Ann Thorac Surg. 2002;74(suppl):S1803–S1805
  4. Kuki S, Taniguchi K, Masai T, Endo S. A novel modification of elephant trunk technique using a single four-branched arch graft for extensive thoracic aortic aneurysm. Eur J Cardiothorac Surg. 2000;18:246–248
  5. Kuki S, Taniguchi K, Masai T, Yokota T, Yoshida K, Yamamoto K, et al. An alternative approach using long elephant trunk for extensive aortic aneurysm: elephant trunk anastomosis at the base of the innominate artery. Circulation. 2002;106(suppl 1):I253–I258
  6. Mitchell RS, Dake MD, Semba CP, Fogarty TJ, Zarins CK, Liddell RP, et al. Endovascular stent-graft repair of thoracic aortic aneurysms. J Thorac Cardiovasc Surg. 1996;111:1054–1062
  7. Greenberg RK, Haddad F, Svensson L, O’Neill S, Walker E, Lyden SP, et al. Hybrid approaches to thoracic aortic aneurysms: the role of endovascular elephant trunk completion. Circulation. 2005;112:2619–2626
  8. Kazui T, Washiyama N, Muhammad BA, Terada H, Yamashita K, Takinami M. Improved results of atherosclerotic arch aneurysm operations with a refined technique. J Thorac Cardiovasc Surg. 2001;121:491–499
  9. Kouchoukos NT, Mauney MC, Masetti P, Castner CF. Single-stage repair of extensive thoracic aortic aneurysms: experience with the arch-first technique and bilateral anterior thoracotomy. J Thorac Cardiovasc Surg. 2004;128:669–676
  10. Karck M, Chavan A, Khaladj N, Friedrich H, Hagl C, Haverich A. The frozen elephant trunk technique for the treatment of extensive thoracic aortic aneurysms: operative results and follow-up. Eur J Cardiothorac Surg. 2005;28:286–290
  11. Toyama M, Usui A, Yoshikawa M, Ueda Y. Thoracic aneurysm rupture due to graft perforation after endovascular stent-grafting via median sternotomy. Eur J Cardiothorac Surg. 2005;27:162–164
  12. Miyairi T, Kotsuka Y, Ezure M, Ono M, Morota T, Kubota H, et al. Open stent-grafting for aortic arch aneurysm is associated with increased risk of paraplegia. Ann Thorac Surg. 2002;74:83–89
  13. Miyairi T, Kotsuka Y, Morota T, Kubota H, Shibata K, Ikeda Y, et al. Paraplegia after open surgery using endovascular stent graft for aortic arch aneurysm. J Thorac Cardiovasc Surg. 2001;122:1240–1243
  14. Flores J, Kunihara T, Shiiya N, Yoshimoto K, Matsuzaki K, Yasuda K. Extensive deployment of the stented elephant trunk is associated with an increased risk of spinal cord injury. J Thorac Cardiovasc Surg. 2006;131:336–342

PII: S0022-5223(07)00527-2

doi: 10.1016/j.jtcvs.2007.02.030

The Journal of Thoracic and Cardiovascular Surgery
Volume 134, Issue 1 , Pages 47-52 , July 2007

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